Individual
MONIQUE OLIVIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3752 CASCADE RD SW STE 190, ATLANTA, GA 30331-2149
(678) 836-2118
Mailing address
1954 LOWN FARM TRAIL, DEPT OF DENTISTRY-6TH FLOOR, LITHONIA, GA 30058-8202
(678) 215-3259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015512
GA
Other
Enumeration date
02/16/2016
Last updated
07/21/2022
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